<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Profit_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-profit_id" data-rule="required" data-source="profit/index" class="form-control selectpage" name="row[profit_id]" type="text" value="{$row.profit_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Rate_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-rate_id" data-rule="required" data-source="rate/index" class="form-control selectpage" name="row[rate_id]" type="text" value="{$row.rate_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Transaction_type_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-transaction_type_id" data-rule="required" data-source="transaction/type/index" class="form-control selectpage" name="row[transaction_type_id]" type="text" value="{$row.transaction_type_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Card_type')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_type" data-rule="required" class="form-control" name="row[card_type]" type="text" value="{$row.card_type|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Profit_rate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-profit_rate" data-rule="required" class="form-control" name="row[profit_rate]" type="text" value="{$row.profit_rate|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
